論文

査読有り 国際誌
2019年6月19日

Intracervical elastomeric sealant in an ex vivo model.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • Eiji Kondoh
  • ,
  • Yosuke Kawamura
  • ,
  • Yoshitsugu Chigusa
  • ,
  • Haruta Mogami
  • ,
  • Akihiko Ueda
  • ,
  • Junzo Hamanishi
  • ,
  • Masaki Mandai

34
7
開始ページ
1
終了ページ
3
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1080/14767058.2019.1626367

Background: Premature rupture of membranes occurring in previable midtrimester patients is associated with perinatal mortality, and optimal therapeutic methods are yet to be established. Objective: This study's objective was to investigate whether an elastomeric sealant, which has been used as a hemostatic agent for arterial anastomosis, could plug the uterine endocervical canal to prevent leakage of intrauterine fluid in an ex vivo model. Methods: The elastomeric sealant or fibrin glue was applied to the cervix of uteri removed for benign gynecological disease (n = 4). Normal saline was administered into the ex vivo uterine cavity through a catheter using a pressure infusion bag. Intrauterine pressure was measured using a digital pressure gauge, and the pressure at which normal saline started leaking out of the uterine cervix was compared between both the sealants. Results: No fluid leakage was observed with the elastomeric sealant until the pressure exceeded 20 kPa (150 mmHg), while the leakage onset pressure with fibrin sealant was 6.6 ± 1.8 kPa (50 ± 14 mmHg). The threshold leak pressure where the onset of liquid flow was initiated was significantly different between both the sealants (p < .0001). Conclusions: Intracervical elastomeric sealant exhibited powerful fluid leakage prevention in an ex vivo model. The sealant would have potential to prevent the leakage of amniotic fluid in pregnancies with previable premature rupture of membranes.

リンク情報
DOI
https://doi.org/10.1080/14767058.2019.1626367
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31146608
ID情報
  • DOI : 10.1080/14767058.2019.1626367
  • ISSN : 1476-7058
  • PubMed ID : 31146608

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